# PRISCILLA PETROSKY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Seaport Healing Arts
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194584136
- **Authorized official:** PRISCILLA P ODGERS LAC, MSTOM (REGISTERED AGENT)
- **Authorized official phone:** (609) 994-4114

## Contact information

- **Practice address:** 210 GREAT BAY BLVD, LITTLE EGG HARBOR TWP, NJ 08087-2006
- **Practice address phone:** (609) 994-4114
- **Mailing address:** 22 WINDWARD DR, MANAHAWKIN, NJ 08050-3339
- **Mailing address phone:** (609) 994-4114

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2024
- **Last updated:** 03/13/2024